ALEXANDER LOUIS DIVERGILIO

NEWNAN, GA
NPI1477135739
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-04-26
Last Update Date2021-04-26
Business Address
ALEXANDER LOUIS DIVERGILIO M.Ed, NCC
59 HOSPITAL RD
NEWNAN, GA 30263-1209
Phone number: 678-423-4610
Mailing Address
ALEXANDER LOUIS DIVERGILIO M.Ed, NCC
105 GREEN MEADOW LN
FAYETTEVILLE, GA 30215-6504
Phone number: 678-382-2732